Organization Active NPI

TP KCB Harbour Village Opco, LLC

  • Assisted Living Facility
  • Greendale, WI
National Provider Identifier
1154299386
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TP KCB HARBOUR VILLAGE OPCO, LLC
Doing business as
Harbour Village
Practice address
5900 Mockingbird LN
Greendale, WI 53129-1459
Phone
(414) 421-9600
NPI assigned
Oct 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew McConkie
Title
Manager
Phone
(917) 921-0531

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

5900 Mockingbird LN
Greendale, WI 53129-1459

Mailing address

2265 E Murray Holladay Rd
Holladay, UT 84117-5379
Phone (917) 921-0531

Other names 1

  • Harbour Village Doing business as

National Provider Directory

National Provider Directory

Locations

2265 E Murray Holladay Rd
Holladay, UT 84117

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1154299386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 E MURRAY HOLLADAY RD",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175379",
            "telephone_number": "917-921-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MOCKINGBIRD LN",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291459",
            "telephone_number": "414-421-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TP KCB HARBOUR VILLAGE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "MCCONKIE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-921-0531"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbour Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.